MEDICARE: AUTHENTIC EXPRESSION, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	146007347	IL

General Provider Information

NPI Number	:	1871047258
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AUTHENTIC EXPRESSION, LLC

Provider Business Mailing Address
First Line	:	7919 CENTRAL AVE
Second Line	:
City	:	MORTON GROVE
State	:	IL
Zip	:	60053-3607
Country	:	US
Telephone Number	:	847-881-6442
Fax Number	:

Provider Business Practice Location Address
First Line	:	7919 CENTRAL AVE
Second Line	:
City	:	MORTON GROVE
State	:	IL
Zip	:	60053-3607
Country	:	US
Telephone Number	:	847-881-6442
Fax Number	:

Authorized Official
Title or Position	:	SPEECH-LANGUAGE PATHOLOGIST
Name	:	HEIDI RABE
Credential	:	CCC-SLP
Telephone Number	:	847-881-6442

Provider Enumeration Date	:	08/15/2016
Last Update Date	:	08/15/2016

Similar Medicare Providers

1437326774 — HEIDI L. RABE
Practice Location Address:

7919 CENTRAL AVE
MORTON GROVE, IL
60053-3607

Practice Phone: 847-881-6442
Practice Fax:

1992220149 — GABRIEL RAZEL PEEPLES
Practice Location Address:

163 GROVE ST
NORTHAMPTON, MA
01060-3607

Practice Phone: 413-376-5929
Practice Fax: 413-341-8186

1023630894 — SUMMER SOLSTICE 2006 LLC
Practice Location Address:

2911 BRIDGEPORT AVE
COCONUT GROVE, FL
33133-3607

Practice Phone: 305-305-0396
Practice Fax:

1518550730 — ANISHA FREDERICK RN
Practice Location Address:

145 SHADY GROVE RD
ULMER, SC
29849-3607

Practice Phone: 803-571-5528
Practice Fax:

1043167463 — MAE ISABELLE MADRID PA-C
Practice Location Address:

8927 NATIONAL AVE
MORTON GROVE, IL
60053-2028

Practice Phone: 317-940-6026
Practice Fax:

1477559466 — BRIAN ANDREW OPENSKY DPM
Practice Location Address:

6225 DEMPSTER ST
MORTON GROVE, IL
60053-2818

Practice Phone: 708-747-8994
Practice Fax: 708-747-0170

Directions to “AUTHENTIC EXPRESSION, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.